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The important role of community nurses post pandemic covid-19 Akbar, M Agung
Journal of Community Nursing and Primary Care Vol. 1 No. 1 (2024): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i1.26

Abstract

The COVID-19 pandemic has highlighted the pivotal role of community nurses in public health, particularly within local communities. This article examines the expanded responsibilities of community nurses in the post-pandemic era, focusing on their essential contributions to healthcare delivery, mental health support, health education, and chronic disease management. With an increased demand for long-term health monitoring for COVID-19 survivors, community nurses have become integral in guiding patients through rehabilitation and managing persistent symptoms. Their role in health education and prevention has also grown, as they educate communities on hygiene practices and vaccination to prevent future outbreaks. Additionally, community nurses provide critical mental health support and assist in the management of chronic conditions that have intensified post-pandemic. The article concludes by emphasizing the importance of supporting and investing in community nurses to strengthen public health infrastructure and prepare for future health crises.
Artificial Inteligent (AI) for future nursing services Akbar, M Agung
Journal of Community Nursing and Primary Care Vol. 1 No. 2 (2024): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i2.31

Abstract

Artificial Intelligence (AI) is transforming nursing services by enhancing decision-making, improving efficiency, and delivering personalized patient care. This article examines the applications, impacts, challenges, and future directions of AI in nursing. Key applications include predictive analytics for patient deterioration, automation of repetitive tasks, and clinical decision support, which collectively reduce workloads and improve care quality. AI also enhances nursing education through personalized learning systems and realistic simulations. Despite its benefits, challenges such as data privacy concerns, algorithmic biases, resistance to technology adoption, and insufficient regulatory frameworks hinder its full implementation. Addressing these challenges requires robust cybersecurity measures, inclusive AI development, comprehensive training programs, and clear guidelines to ensure ethical and effective integration into nursing practices. Looking to the future, advancements such as robotics, natural language processing, and AI-powered chatbots promise to further revolutionize nursing. Collaborative efforts between AI developers and nursing professionals are essential to tailor AI technologies for specific nursing tasks, ensuring relevance and usability. Additionally, incorporating AI training into nursing education will prepare future nurses to adapt to AI-driven healthcare environments. This article highlights the transformative potential of AI in nursing while emphasizing the need for a balanced approach to integration. By addressing barriers and leveraging innovative technologies, AI can enhance nursing services, delivering safer, more efficient, and patient-centered care. The findings underscore AI's role as a complementary tool that supports, rather than replaces, the human aspects of nursing care.
Strategies to address stigma and discrimination of people with HIV/AIDS through community system strengthening Akbar, M Agung
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.2

Abstract

The COVID-19 pandemic has diverted attention from the HIV/AIDS epidemic, despite the ongoing need for substantial attention. In Indonesia, HIV/AIDS cases continue to fluctuate, with a significant cumulative number, highlighting the importance of community involvement in prevention and treatment efforts. The main barrier to addressing HIV/AIDS is the stigma and discrimination faced by People Living with HIV/AIDS (PLWHA), which hinders their access to healthcare services and social support. This article examines the approach of Community System Strengthening as a strategy to reduce stigma and discrimination against PLWHA. Through education, community involvement, and continuous counseling, it is hoped that society can become more supportive and reduce the social stigma PLWHA face. This study also provides community-based intervention guidelines as a solution to enhance the health and well-being of PLWHA in Indonesia.
Relationship between knowledge and adherence of type 2 diabetes mellitus patients in treatment: A cross-sectional study Akbar, M Agung; Harto, Toto; Al Hakim, Abdul Rahman
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.3

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disorder that requires long-term pharmacological treatment and sustained adherence to therapy to achieve optimal glycemic control and prevent complications. However, many patients experience difficulties maintaining consistent treatment adherence, which may worsen disease outcomes. Patient knowledge regarding diabetes management is considered an important factor influencing adherence behavior. Understanding the relationship between knowledge and treatment adherence is therefore essential for improving diabetes management strategies in primary healthcare settings. Objective: This study aimed to analyze the relationship between knowledge and treatment adherence among patients with type 2 diabetes mellitus in a primary healthcare setting. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. The research was conducted in October 2022 in the working area of UPTD Puskesmas Tanjung Baru. The study population consisted of patients diagnosed with type 2 diabetes mellitus, and a total of 30 respondents were included using a total sampling technique. The independent variable was patient knowledge regarding diabetes mellitus, while the dependent variable was treatment adherence. Data were collected using structured questionnaires and adherence checklists. Descriptive statistics were used to summarize respondent characteristics, and bivariate analysis was performed using the Chi-square test with a significance level of α = 0.05. Statistical analysis was conducted using SPSS software. Results: The results showed that most respondents had a moderate level of knowledge (43.3%), followed by good knowledge (33.3%) and poor knowledge (23.3%). Regarding treatment adherence, the majority of respondents demonstrated moderate adherence (53.3%), while 26.7% were categorized as adherent and 20.0% were non-adherent. The Chi-square test indicated a statistically significant relationship between knowledge and treatment adherence among patients with type 2 diabetes mellitus (p = 0.011). Respondents with higher knowledge levels tended to demonstrate better adherence to diabetes treatment. Conclusion: Knowledge level is significantly associated with treatment adherence among patients with type 2 diabetes mellitus. Improving patient knowledge through targeted education and counseling programs may enhance treatment adherence and support better diabetes management outcomes in primary healthcare settings.
Turning evidence into action: The role of research in shaping policy Akbar, M Agung
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.12

Abstract

Evidence-based policy is essential for addressing complex global challenges such as health crises, climate change, and social inequalities. Despite its importance, translating research findings into effective public policy remains difficult due to gaps between researchers and policy makers, including differences in language, priorities, and working approaches. Strengthening communication and collaboration between academia and government is necessary to ensure that scientific evidence can inform policy decisions. Institutional mechanisms, adequate funding, and research agendas aligned with societal needs are also crucial to support evidence-based decision making. Strong synergy between research and policy will enable governments to develop more responsive, effective, and sustainable public policies.
The effect of lavender aromatherapy on the sleep quality of elderly patients: A quasi-experimental study Akbar, M Agung; Rizki, Fakhri; Aprilia, Rike
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.16

Abstract

Background: Sleep disturbances are common among elderly individuals and negatively affect physical health, psychological well-being, and overall quality of life. Non-pharmacological approaches such as lavender aromatherapy have increasingly been used to improve sleep quality across different populations. Objective: This study aimed to examine the effect of lavender aromatherapy on sleep quality among elderly patients. Methods: This study applied a quasi-experimental design with a pretest–posttest control group approach. A total of 60 elderly participants were recruited and randomly allocated into two groups consisting of 30 participants in the intervention group and 30 participants in the control group. The intervention group received lavender aromatherapy through a diffuser for 30 minutes each night before bedtime for 14 consecutive days, while the control group received routine care without aromatherapy exposure. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention period. Statistical analysis was performed using paired t-tests to evaluate changes in sleep quality within each group and independent t-tests to compare differences between the intervention and control groups. The level of statistical significance was set at p < 0.05. Results: The mean PSQI score in the intervention group decreased from 11.3 ± 2.1 at baseline to 6.2 ± 1.8 after the intervention, whereas the control group showed no significant change. Statistical analysis demonstrated significant differences between pretest and posttest scores in the intervention group and significant differences between groups after the intervention. Conclusion: Lavender aromatherapy significantly improves sleep quality among elderly patients and may serve as an effective complementary intervention in geriatric nursing care.
The role of nurse leaders in bridging research and clinical practice Akbar, M Agung
Indonesian Journal of Health Services Vol. 2 No. 1 (2025): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i1.82

Abstract

Postoperative pain following cesarean section is a common clinical problem that may affect Nurse leaders play a strategic role in bridging the gap between research findings and clinical practice in healthcare services. The integration of research evidence into evidence-based nursing practice is essential for improving healthcare quality and patient safety. This editorial article aims to discuss the critical role of nurse leaders in facilitating the implementation of evidence-based practice within clinical settings. The discussion highlights the leadership function of nurse leaders as connectors between researchers and practitioners, translators of research findings into practical clinical guidelines, and drivers of organizational change in healthcare institutions. Nurse leaders also contribute to fostering collaborative cultures between academia and clinical practice, ensuring the availability of resources to support research implementation, and developing policies that promote evidence-informed clinical decision-making. In addition, nurse leaders serve as role models in the adoption of evidence-based practice and encourage nurses to engage in research and quality improvement initiatives. Strong nursing leadership can therefore enhance the effective integration of research and clinical practice, ultimately improving healthcare quality and advancing the nursing profession.
Perceptions of a peaceful death among Indonesian muslim nurses: A qualitative study Akbar, M Agung
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.124

Abstract

Background: Nurses, as frontline healthcare providers, play a pivotal role in shaping patients’ end-of-life experiences. In Indonesia, where Islam is the predominant religion, nurses’ perceptions of a peaceful death are closely intertwined with religious and cultural values. However, empirical evidence exploring peaceful death from the perspective of Indonesian Muslim nurses remains limited. Objective: This study aimed to explore in depth the perceptions of a peaceful death among Indonesian Muslim nurses within the context of end-of-life care. Methods: This study employed a qualitative exploratory descriptive design. Participants were Muslim nurses with experience in caring for terminally ill patients and were recruited using purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed using thematic analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Four main themes emerged from the data analysis: (1) acceptance of death as a divine decree, (2) peaceful death as freedom from unnecessary suffering, (3) the central role of family and interpersonal relationships, and (4) the professional role of nurses in facilitating a dignified death. These themes illustrate that a peaceful death is perceived as an integration of spiritual, physical, emotional, relational, and professional dimensions of care. Conclusion: Indonesian Muslim nurses perceive a peaceful death as a holistic process emphasizing spiritual acceptance, patient comfort, family support, and dignified nursing care. These findings highlight the importance of culturally and spiritually sensitive palliative nursing practices. 
NURSING CARE USING HANDHELD FANS (BASED ON ROY'S ADAPTATION MODEL) FOR PATIENTS WITH BRONCHOPNEUMONIA AND DYSPNEA KK, Indra Frana Jaya; Zulfikri, Ahmad; Pratiwi, Afrida; Ningsih, Deasy Kurnia; Cahya, Febriani; Ayunani, Sabrina; Akbar, M Agung
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 1 (2026): January - March
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i1.670

Abstract

Bronchopneumonia remains a common respiratory condition that frequently leads to impaired breathing patterns in pediatric patients. Dyspnea that is not properly managed may lead to hypoxia and increased respiratory workload. Simple, safe, and evidence-based non-pharmacological interventions are needed to alleviate dyspnea symptoms. One such intervention is handheld fan therapy, which works by stimulating trigeminal mechanoreceptors to improve breathing comfort and support physiological adaptation. This study aimed to implement and evaluate the effectiveness of handheld fan therapy based on the Roy Adaptation Model in managing impaired breathing patterns among patients with bronchopneumonia. This study employed a descriptive case study design. The subjects consisted of three pediatric patients diagnosed with bronchopneumonia who met the inclusion criteria. Data were collected through nursing assessment, clinical observation, physical examination, and medical record documentation. The handheld fan therapy intervention was administered twice daily for three consecutive days, with each session lasting 5–10 minutes. Nursing care implementation followed the Indonesian Nursing Diagnosis Standards (SDKI), Nursing Outcome Standards (SLKI), and Nursing Intervention Standards (SIKI). Data were analyzed descriptively to evaluate adaptive response changes in patients. The findings indicated that all patients presented with primary complaints of dyspnea and cough with a nursing diagnosis of impaired breathing pattern. Following three days of intervention, improvements in respiratory status were observed, including decreased respiratory rate, reduced dyspnea levels, decreased cough frequency, improved oxygen saturation, and increased patient comfort. Handheld fan therapy based on the Roy Adaptation Model is an effective non-pharmacological nursing intervention for reducing dyspnea and improving breathing patterns in patients with bronchopneumonia. This intervention has the potential to be integrated into evidence-based nursing practice for respiratory care management.
Exploring antiretroviral treatment discontinuation among people living with HIV in Indonesia: A qualitative study Sujianto, Untung; Amirudin, Ikhwan; Akbar, M Agung; Waluyo, Agung; Nursasi, Astuti Yuni
Belitung Nursing Journal Vol. 11 No. 6 (2025): November - December
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4129

Abstract

Background: Discontinuation of antiretroviral therapy (ART) among people living with HIV (PLHIV) presents significant challenges for HIV care, often leading to physical deterioration, emotional distress, and social isolation. Although prior studies have addressed barriers to adherence, little is known about the experiences of PLHIV following treatment discontinuation in the Indonesian context. Objective: To explore the experiences of Indonesian PLHIV who have discontinued ART. Methods: This qualitative study employed a descriptive phenomenological approach and was conducted in three urban areas of Indonesia (Jakarta, Yogyakarta, and Bandar Lampung) between August and September 2024. Fifteen participants were purposively recruited from community-based organizations. In-depth semi-structured interviews were conducted, transcribed verbatim, and analyzed using Colaizzi’s method to identify themes and meanings in the narratives. Results: Three major themes emerged: (1) Physical and psychological consequences of ARV discontinuation, including fatigue, anxiety, and a sense of losing control; (2) Prolonged social strain and stigma, marked by loss of support and moral judgment from others; and (3) Searching for meaning and coping without treatment, including spiritual resignation and detachment from bodily control. These themes reflect the complex, multidimensional burdens PLHIV face after stopping treatment, particularly in the Indonesian context, where HIV stigma is deeply rooted in sociocultural and religious norms, and access to mental health support remains limited. Conclusion: ART discontinuation is not merely a clinical event but a deeply human experience shaped by physical decline, emotional conflict, social rejection, and existential adaptation. To improve long-term HIV care outcomes, healthcare systems must integrate psychosocial and spiritual support for individuals who disengage from treatment, encouraging re-engagement through nonjudgmental and person-centered care. For nursing practice, this study emphasizes the importance of developing empathetic communication, providing culturally sensitive counseling, and actively addressing stigma during care interactions.
Co-Authors Agung Waluyo Ahmad Yamin Al Hakim, Abdul Rahman Amirudin, Ikhwan Anggraeni, Hesti Aprilia, Rike Aria Wibisana Astuti Yuni Nursasi Ayunani, Sabrina Cahya, Febriani Cahyadi, Gabriel Ekoputra Hartono Chandra Rahmadi Charista, Rysha Citra Amelia Yulianti Dea Wahyuni, Elisa Dian Ayubi Efrianty, Novalia Elisa Dea Wahyuni Eni Folendra Rosa Erlika, Yesifa Esi Afriyanti Etty Rekawati Fadhilah, Laila Fadhillah, Laila Fakhri Rizki Fakhri Rizki Fatin, Nurul Ferdi, Roni Fitriani Agustina Gupta, Prateek Harsanto, D Eka Harto, Toto Hema Malini, Hema Henny Suzana Mediani Ina Yatul Khoiriyah Indah Ambarwati Iraningrum INDRA FRANA JAYA KK Joni Siahaan Junaiti Sahar Khoiriyah, Ina Yatul KK, Indra Frana Jaya Lina Oktavia, Lina Lisa Novianti Utami Lisdahayati Lisdahayati Lisdahayati Lisdahayati, Lisdahayati Mahafira, Nesa Dwi Martadinata, Umar Hasan Mulia Ganta Saputri Nelly Rustiati Neti Juniarti Ni Ketut Sujati Ningsih, Deasy Kurnia Novalia Efrianty Nurul Fitriah Pome, Gunardi Prateek Gupta Pratiwi, Afrida Prawiti, Ayu Dwi Rafela, Sindi Ramadhona, Shinta Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Rizki, Fakhri Roni Ferdi Roni Ferdi Rustiati , Nelly Rustiati, Nelly Rysha Charista Samsuryadi Samsuryadi Saprianto Saprianto Saprianto, Saprianto Shinta Ramadhona Siahaan, Joni Siti Aulia Sukemi Sukemi Supangat Supangat Supangat Supangat , Supangat Supangat Marzuki Supangat Supangat Supangat Supangat Supangat Supangat Untung Sujianto Utami, Lisa Novianti Wang, Jing Jy Wati, Dwi Nurviyandari Kusuma Wibowo Apriandi Widyatuti Willy Astriana Wiwice Arianti Yesifa Erlika Yudi Budianto Yudi Budianto Zanzibar Zanzibar Zanzibar Zanzibar Zulfikri, Ahmad